Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Johnson Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS JOHNSON III (CFO)
(910) 671-5090
Entity
Organization
Contact information
Practice address
222 S MAIN ST, RED SPRINGS, NC 28377-1622
(910) 843-4576
(910) 843-2301
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H0064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185K
BLUE CROSS BLUE SHIELD
NC
05
—
343415A
—
NC
05
—
343415C
—
NC
Enumeration date
08/18/2005
Last updated
01/27/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us